Ann Elizabeth Simmons, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

121156 Issued in KY

Practice address

912 Wallace Ave Ste 102
Leitchfield, KY 42754-2405

Phone

(270) 259-8888

Fax

(270) 259-8887

NPI assigned

Mar 21, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Owensboro Health Medical Group Inc

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242
  Medicare reassignment Care Compare group NPD
• Owensboro Health Medical Group Inc

  • Internal Medicine Physician
  • Owensboro, KY
  • NPI 1306700711
  NPD
• Owensboro Health Medical Group, Inc

  • Family Medicine Physician
  • Leitchfield, KY
  • NPI 1093302416

  Dietitian, Registered

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1144080425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 WALLACE AVE STE 102",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542405",
            "telephone_number": "270-259-8888",
            "fax_number": "270-259-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 W Everly Brothers Blvd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Powderly",
            "state": "KY",
            "postal_code": "423675401",
            "country_code": "US",
            "telephone_number": "270-377-2626",
            "fax_number": "270-377-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 N Main St",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "423208955",
            "country_code": "US",
            "telephone_number": "270-274-4771",
            "fax_number": "270-274-4884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 E Parrish Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423033258",
            "country_code": "US",
            "telephone_number": "270-688-2077",
            "fax_number": "270-688-2078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 W Everly Brothers Blvd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Powderly",
            "state": "KY",
            "postal_code": "423675401",
            "country_code": "US",
            "telephone_number": "270-377-2600",
            "fax_number": "270-377-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "121156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aayushma Shah, MD
• Jonathan Shaw, PHARMD
• Brittany Noel Shofner, PHARMD, RPH
• Kathryn Terri Knutson Shufelt, DO
• Shawn Sikka, M.D.
• Charles Barrett Simpson, O.D.
• Erica Patton Simpson, LCSW
• Kirsten Sizemore, NP
• Gregory Gordon Skaggs, MD
• Susan Higdon Skaggs, D.M.D

• Registered Dietitian in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.